NPI | 1619433299 |
---|---|
Former Name | AMY LEE LAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP140731) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TX 829937) |
Enumeration Date | 2019-02-19 |
Last Update Date | 2019-02-26 |